| NPI | 1043773492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002236) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-07-01 |